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CITY OF ORONO <br />2750 Kelley Parkway • P.O. Box 815 <br />Orono, Minnesota 55356-0815 <br />(612)473-7357 <br />SITE AUUHt55: <br />-'0-11i- 24-0046 <br />UtbUNIF I IVN: <br />FEE SUMMARY: <br />PERMIT TYPE: <br />Permit Number: <br />Date Issued: <br />SEWER & WATER CONN <br />Sewer & Water Permit Type SEWER Q WATER <br />:ewer & Water Work Type RESIDENCE <br />$70.0i � <br />---------11-4Q) <br />$71 .00R <br />SEWER & WATER <br />00c100 <br />04/ _.'0/93 <br />13IB00000 <br />010 70.00 <br />1°00000 <br />01 C-9 1.00 <br />DECK TL 71.00 <br />RECEIPT -TAW* YOU <br />K.71190 C001 R01 TOP <br />CONTRACTOR: - App 1 i c an t - OWNER: <br />DUDA, LEON PLUMBING SERV. 29a356�2-6 REVIER MIKE <br />208 17TH AVENUE N . '2691 ETHEL AVE <br />HCIPK 1 NS MN 5534 ORONO MN SS391 <br />(612 ) 9:33-56:36 9:3:3-8454 <br />IL <br />THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS <br />SPECIFIED AND AGREES TO DC, ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF <br />ORONO ORDINANCES AND �--:TATE OF. M I NNE'SOTA BUILDING CODE REQUIREMENTS. <br />APPLICANT PERMITEE SIGNATURE <br />ISSUED By SIGNATURE <br />